지역사회 가정간호 통합서비스 시범사업 효과평가
Evaluation of an Integrated Community-based Home Care Service Pilot Project
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Purpose: This study evaluated the effectiveness of a community-based home care service pilot project conducted by C University Hospital for patients receiving home care services. Methods: This study employed a one-group pre-test-post-test design using secondary data. Between June 2021 and June 2022, 67 patients participated in a community-based home care service pilot project. The data were analyzed using SPSS/WIN 26.0, applying descriptive statistics, McNemar’s Chi-square test, and paired t-tests. Results: The participants’ average daily walking time increased from 35.40(±38.66) min to 46.49(±41.40) min (t=-2.23, p=.029) and the proportion reporting “good” perceived subjective health increased from 10.4% to 22.4% (χ2=10.47, p=.015). Family satisfaction averaged 4.27(±0.49), with reliability scoring the highest at 4.33(±0.49). The success rates of resource linkages were relatively high for medical treatment (medical consultations), examinations (83.7%), and residential environment improvements (62.7%). Conclusion: Home healthcare and registered nurses effectively collaborated to deliver comprehensive care, care even in patients excluded from long-term care. Home care nursing may contribute to the development of sustainable, community-based, integrated care models that require essential policy and institutional support.
Abstract
Purpose: This study evaluated the effectiveness of a community-based home care service pilot project conducted by C University Hospital for patients receiving home care services. Methods: This study employed a one-group pre-test-post-test design using secondary data. Between June 2021 and June 2022, 67 patients participated in a community-based home care service pilot project. The data were analyzed using SPSS/WIN 26.0, applying descriptive statistics, McNemar’s Chi-square test, and paired t-tests. Results: The participants’ average daily walking time increased from 35.40(±38.66) min to 46.49(±41.40) min (t=-2.23, p=.029) and the proportion reporting “good” perceived subjective health increased from 10.4% to 22.4% (χ2=10.47, p=.015). Family satisfaction averaged 4.27(±0.49), with reliability scoring the highest at 4.33(±0.49). The success rates of resource linkages were relatively high for medical treatment (medical consultations), examinations (83.7%), and residential environment improvements (62.7%). Conclusion: Home healthcare and registered nurses effectively collaborated to deliver comprehensive care, care even in patients excluded from long-term care. Home care nursing may contribute to the development of sustainable, community-based, integrated care models that require essential policy and institutional support.
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